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Incisional vs. Partial Incisional Double Eyelid Surgery

I'm 18 years old and I'm trying to decide whether incisional or partial-incisional surgery will be the better choice for me. My surgeon tells me that partial-incisional surgery will deliver similar results with less scarring but I'm scared that the crease will just disappear after a couple of years. Should I just stick with incisional surgery? I have one single eyelid and one double eyelid. I have pseudo-ptosis for one eye (skin on single eyelid has loose skin - the levitator muscle is okay)

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5 Doctor Answers | Asked by rw

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Incisional vs. Partial-incisional Double Eyelid Surgery

The answer should be neither, but a NON-INCISIONAL double eyelid surgery. You’re an 18-year old patient and that means you should have no or very minimal excess upper eyelid skin that needs to be removed. Most 18-year-old patients who have double eyelid surgery do not need their skin removed. What I am trying to say is that if a double eyelid surgery can be performed then your eyelid shouldn’t be any different from that of any other person who has a natural double eyelid crease... more

Incisional vs partial incisional eyelid surgery

It is usually best to undergo the incisional procedure on the eyelid for better control of results. Good long lasting results require a total access to the preoperative conditions there causing the asymmetrical single and double eyelid fold.

Incisional Eyelid Surgery is more accurate and longer lasting than partial and no incision approaches

Incisional Eyelid Surgery is more accurate and longer lasting than partial and no incision approaches. The incisional approach allows the surgeon to see the structures that need to be adjusted to create the crease. This, in turn, allows the surgeon to directly work with these structures instead of doing it blind through partial and no incision techniques. The incisional technique also allows the surgeon to expose the structures that need to be cleared of tissue to allow the... more

Philip Young, MD

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Bellevue Facial Plastic Surgeon

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Double eye lid surgery

It sounds that you had an ophtalmology work up, if not you need a full opthalmology work up for the evaluation of ptosis or pseudoptosis, excursion of the lavator muscle, present fold evaluation, Open technique seems the appropriate approach in the presence of ptosis or pseudoptosis, which can be corrected at the same time.

Incisional vs partial incisional technique for double eyelid surgery

Pictures would be helpful in this case but with your history of pseudoptosis, an incisional procedure may be more definitive for you in the long run.

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